Template:Mastitis antibiotics: Difference between revisions
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There is no need to routinely interrupt breastfeeding with puerperal mastitis. Encourage frequent breast emptying which in itself is therapeutic | ''There is no need to routinely interrupt breastfeeding with puerperal mastitis. Encourage frequent breast emptying which in itself is therapeutic'' | ||
===[[Antibiotics]]=== | ===[[Antibiotics]]=== | ||
''Treatment directed at S. aureus and Strep and E. coli | ''Treatment directed at S. aureus and Strep and E. coli'' | ||
* | *Uncomplicated mastitis → 10 days of Abx (regardless of MRSA suspicion)<ref>Levine BL. 2011 EMRA Antibiotic Guide. EMRA. Pg 78.</ref> | ||
*[[Cephalexin]] 500mg PO q6hrs | *[[Cephalexin]] 500mg PO q6hrs '''OR''' | ||
** | **Add [[TMP/SMX]] 2DS tabs PO q12hrs if suspect [[MRSA]] | ||
*[[Amoxicillin/Clavulanate]] 875mg PO q12hrs | *[[Clindamycin]] 450mg PO q8hrs (also provides MRSA coverage) '''OR''' | ||
*[[Dicloxacillin]] 500mg PO q6hrs | *[[Amoxicillin/Clavulanate]] 875mg PO q12hrs '''OR''' | ||
*[[Azithromycin]] 500mg PO | *[[Dicloxacillin]] 500mg PO q6hrs '''OR''' | ||
*[[Azithromycin]] 500mg PO x1 on day 1, then 250mg PO daily for days 2-5 | |||
Revision as of 21:29, 7 September 2015
There is no need to routinely interrupt breastfeeding with puerperal mastitis. Encourage frequent breast emptying which in itself is therapeutic
Antibiotics
Treatment directed at S. aureus and Strep and E. coli
- Uncomplicated mastitis → 10 days of Abx (regardless of MRSA suspicion)[1]
- Cephalexin 500mg PO q6hrs OR
- Clindamycin 450mg PO q8hrs (also provides MRSA coverage) OR
- Amoxicillin/Clavulanate 875mg PO q12hrs OR
- Dicloxacillin 500mg PO q6hrs OR
- Azithromycin 500mg PO x1 on day 1, then 250mg PO daily for days 2-5
- ↑ Levine BL. 2011 EMRA Antibiotic Guide. EMRA. Pg 78.
